Individual
SANDRA V HEINSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
290 ASHBOROUGH PARK, FAYETTEVILLE, GA 30215-6514
(404) 455-5959
(678) 228-1826
Mailing address
290 ASHBOROUGH PARK, FAYETTEVILLE, GA 30215-6514
(404) 455-5959
(678) 228-1826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002587
GA
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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